| Organization Name: | TOTALCARE THERAPIES, LLC |
| NPI Number: | 1013395045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER GROSSMAN (OWNER) |
| Mailing Address: | 20845 Greenmont Dr Bend |
| State: | OR US |
| Postal Code: | 977022857 |
| Phone Number: | 5416046086 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2015 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 1106622-93 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |